Individual
SANDRA BIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
22 OLD WATERBURY RD, SOUTHBURY, CT 06488-3848
(203) 262-4200
Mailing address
22 OLD WATERBURY RD, SOUTHBURY, CT 06488-3848
(203) 262-4288
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
002307
CT
363LC0200X
Critical Care Medicine Nurse Practitioner
002307
CT
Other
Enumeration date
09/29/2006
Last updated
05/29/2015
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